Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicole Basham, DPT

Individual provider Physical Therapist · NPI 1245661164

Nicole Basham, DPT is a Physical Therapist in Stockton, California. Licensed in California and Washington. Registered with an NPI since 2013.

Licensed in
CA, WA
In the registry since
2013
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

10200 Trinity Pkwy Ste 205
Stockton, CA 95219-7288
Phone: (209) 451-3920
Fax: (209) 451-3902
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 41238 (CA)
Physical Therapist Taxonomy 225100000X · Licence PT60408454 (WA)

Record details

NPI number1245661164
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedDecember 3, 2013
Last updated in NPPESJuly 21, 2022
Mailing address8557 Diamond Oak Way, Elk Grove, CA 95624-1749

Other providers in Stockton